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Title: Protocol for regional implementation of community-based collaborative management of complex chronic patients
Author: Cano, Isaac
Dueñas Espín, Ivan
Hernandez, Carme
Batlle, Jordi de
Benavent, Jaume
Contel, Joan Carles
Baltaxe, Erik
Escarrabill Sanglas, Joan
Fernandez, Juan Manuel
García Aymerich, Judith
Mas, Miquel Àngel
Miralles, Felip
Moharra, Montserrat
Piera, Jordi
Salas, Tomas
Santaeugenia, Sebastià
Soler Porcar, Néstor
Torres, Gerard
Vargiu, Eloisa
Vela, Emili
Roca Torrent, Josep
Keywords: Malalties cròniques
Política regional
Chronic diseases
Economic zoning
Issue Date: 14-Jul-2017
Publisher: Nature Publishing Group
Abstract: Over the last few years, the epidemics of noncommunicable diseases and the need for cost-containment1 are triggering factors for a profound transformation of the way we approach delivery of care for chronic patients. In this new scenario, conventional disease-oriented approaches, centered on the management of clinical episodes, are being replaced by patient-centered integrated care services,2 as promoted by the World Health Organization. Lessons learnt from deployment experiences4, 5 following patient-centered approaches are being disseminated as good practices.6 However, there are several factors that need further attention, such as the need for further assessment of implementation strategies in real-world scenarios and the lack of transferability from progress achieved in disease-oriented integrated care to management of complex chronic patients (CCP).5, 7 Likewise, efficacy achieved in integrated care interventions, assessed through randomized controlled trials, may not translate into effectiveness at health system level. In addition, poor comparability among experiences on management of multimorbidity emerges as an important hurdle for the adoption of integrated care. In this regard, the lack of an operational definition for CCP is not a negligible factor, as it clearly limits an appropriate service workflow design, which, in turn, precludes both evaluation and comparability of reported experiences.
Note: Reproducció del document publicat a:
It is part of: NPJ Primary Care Respiratory Medicine, 2017, vol. 27, num. 1, 7 p.
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ISSN: 2055-1010
Appears in Collections:Articles publicats en revistes (ISGlobal)
Articles publicats en revistes (Medicina)
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

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